Individual provider · Type 1 NPI
Elise S. Walton, CMT, CLT
Massage Therapist · Virginia Beach, VA
NPI number
1235417403
Active
Practice location
522 S Independence Blvd Ste 202A
Virginia Beach, VA 23452-1163
Fax (757) 471-9330
Mailing address
5245 Heathglen Cir
Virginia Beach, VA 23456-6395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 0019006593 (VA) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1235417403
Elise S. Walton, CMT, CLT's National Provider Identifier is 1235417403, issued on Jul 21, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Virginia Beach, VA. The record was last updated on Oct 21, 2014.